PSY 550 Final Project Vignette One
Ms. G is a 33-year-old single, Caucasian female who was referred for an evaluation to clarify diagnostic issues and establish educational and vocational goals. Ms. G was born with spina bifida, but otherwise had no notable developmental concerns. She requires a manual wheelchair for ambulation due to her spina bifida.
Ms. G never received special education or had an individualized education program (IEP). She completed two years of college but then took a leave of absence. She would like some guidance as to whether she should continue to pursue her bachelor’s degree, as the first two years of college were extremely challenging for her. Sh e reports struggling academically and just “not fitting in” with her peers. From a mental health perspective, she has a history of being in and out of counseling. She is currently prescribed Zoloft and Xanax for depression and anxiety, respectively. She reported a fear of vomiting, and also reported generally being anxious and depressed at times. She estimated that she has been severely depressed on at least three occasions.
The client reports concerns related to her inability to secure a job and not “knowing what to do.” She has noticed that she has been losing friends and is not sure why. She is hoping to gain further input around her psychological status as it relates to her anxiety, depression, and social concerns. Below are her scores from the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) and Millon Clinical Multiaxial Inventory – III (MCMI-III).
WAIS-IV
FSIQ 94
VCI 107
PRI 82
WMI 108
PSI 81
GAI 95
MCMI-III
Disclosure 71
Desirability 75
Debasement 42
Schizoid 81
Avoidant 66
Depressive 75
Dependent 81
Histrionic 63
Narcissistic 54
Antisocial 62
Sadistic 36
Compulsive 69
Negativistic 64
Masochistic 80
Schizotypal 65
Borderline 34
Paranoid 60
Anxiety 85
Somatoform 15
Bipolar: Manic 60
Dysthymia 24
Alcohol Dependence 40
Drug Dependence 60
PTSD 60
Thought Disorder 15
Major Depressive 79
Delusional Disorder 62
You can use these resources to help you review the data from Ms. G’s WAIS-IV and MCMI-III scores:
WAIS-IV 1. Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV)
a) Scroll down and find the “Resources” tab. b) Click on “Presentation: Wechsler Adult Intelligence Scale 4th Edition (WAIS-IV).
MCMI-III 1. C512 MCMI
a) Bacon, S. F. Millon Clinical Multiaxial Inventory III (MCMI-III) [PPT document]. Retrieved from California State University’s website: http://www.csub.edu/~sbacon/C512_MCMI.ppt
b) The Millon Personality Group Website c) Millon Clinical Multiaxial Inventory-III (MCMI-III)
o Scroll down and find the “Product Details” tab.
o There are sample interpretive and annotated interpretative reports, as well as a
sample profile report in PDF format.
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Cognition-%26-Neuro/Wechsler-Adult-Intelligence-Scale-%7C-Fourth-Edition/p/100000392.html
https://learn.snhu.edu/d2l/lor/viewer/view.d2l?ou=6606&loIdentId=6409
http://www.pearsonclinical.com/psychology/products/100000662/millon-clinical-multiaxial-inventory-iii-mcmi-iii.html?origsearchtext=mcmi-iii#tab-scoring
http://www.pearsonclinical.com/psychology/products/100000662/millon-clinical-multiaxial-inventory-iii-mcmi-iii.html?origsearchtext=mcmi-iii#tab-scoring
http://www.csub.edu/~sbacon/C512_MCMI.ppt
PSY 550 Final Project Vignette One